Individual
JUAN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
921 NE13TH ST, OKLAHOMA CITY, OK 73104
(405) 456-3927
Mailing address
18700 VIVO DR, EDMOND, OK 73012-2635
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5145
OK
2251X0800X
Orthopedic Physical Therapist
53679
—
Other
Enumeration date
12/08/2016
Last updated
03/09/2020
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